[Tubercular fibrosing conjunctivitis associated with facial cutaneous tuberculosis].
BACKGROUND
Tuberculous conjunctivitis has been described only rarely during the course of lupus vulgaris. We report a case of hemifacial cutaneous tuberculosis, diagnosed as atypical lupus vulgaris, associated with homolateral fibrosing tuberculous conjunctivitis.


METHODS
An 83-year-old woman presented inflammatory conjunctivitis without bullous involvement in the left eye leading to corneal neovascularisation, symblepharons and ptosis. Erythematous and atrophic papules were seen on the left side of the face. Biopsy of the skin and conjunctiva revealed a tuberculoid granulomatous infiltrate. Bacterial culture and PCR were both positive for Mycobacterium tuberculosis.


CONCLUSIONS
This case illustrates the need to consider tuberculosis when faced with an atypical facial eruption and ocular involvement.
Maza
A
A
Service de dermatologie, hôpital militaire Laveran, HIA Laveran, Marseille Armées, Marseille, France.
Morel
F
F
Pommier
S
S
Vedy
S
S
Lightburn
E
E
Roux
L
L
Patte
J-H
JH
Meyer
F
F
Morand
J-J
JJ
D000369:Aged, 80 and over; D003234:Conjunctivitis, Bacterial / Q000150:complications*; D005148:Facial Dermatoses / Q000382:microbiology*; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014382:Tuberculosis, Cutaneous / Q000150:complications*; D014392:Tuberculosis, Ocular / Q000150:complications*